<%@ page language="java" contentType="text/html; charset=utf-8"
	pageEncoding="utf-8"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<%
	String path = request.getContextPath();
	String basePath = request.getScheme() + "://"
			+ request.getServerName() + ":" + request.getServerPort()
			+ path + "/";
%>
<html xmlns="http://www.w3.org/1999/xhtml">
	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
		<meta http-equiv="X-UA-Compatible" content="IE=7" />
		<link href="<%=basePath%>themes/css/login.css" rel="stylesheet"
			type="text/css" />
		<title>客户信息管理系统</title>
<!-- 
	页面名称：客户回访信息编辑
	功能：
		编辑用户个人信息及回访信息
 -->

	</head>
	<body>
		<form method="post" action="<%=basePath%>demo/common/ajaxDone.html" class="pageForm required-validate" onsubmit="return validateCallback(this, navTabAjaxDone);">
			<div class="pageContent" style="padding:5px">
				<div class="panel" defH="100">
						<h1>预约就诊信息修改</h1>
							<div class="pageFormContent" defH="56">
									<!-- 预约就诊信息修改begin -->
									<p>
										<label>更改原因：</label>
										<select name="capital" class="combox">
											<option value="">请选择</option>
											<option value="10">推迟就诊</option>
											<option value="50">放弃就诊</option>
										</select>
									</p>
									<p>
										<label>更改后预约就诊时间：</label>
										<input type="text" id="appointDate" name="appointDate"  class="date" size="30" /><a class="inputDateButton" href="javascript:;">选择</a>
									</p>
									<dl class="nowrap">
										<dt>备注：</dt>
										<dd><textarea id="appointmemo" name="appointmemo" cols="80" rows="2">选择放弃就诊：则重新进入回访流程，默认第二天进行预约回访；选择推迟就诊：则需要填写新的就诊时间</textarea></dd>
									</dl>
									<!-- 预约就诊信息修改end -->
							</div>
					</div>
	<div class="divider"></div>
	<div class="tabs">
			<jsp:include flush="true" page="/mcms/custom/qddepart/detailCustom_qd.jsp" />
	</div>
	
</div>
	</form>
</body>
</html>